Organization
PLATINUM51
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN K. SMITH (PRESIDENT)
(917) 232-3285
Entity
Organization
Contact information
Practice address
51 TAYLOR ST, PORT JEFFERSON STATION, NY 11776-3833
(917) 232-3285
Mailing address
51 TAYLOR ST, PORT JEFFERSON STATION, NY 11776-3833
(917) 232-3285
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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